Individual
MR. ERIC J LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6926 E 4TH PLAIN BLVD STE B, VANCOUVER, WA 98661-7369
(360) 693-8374
(360) 639-7719
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015777
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00015777
WA LICENSE
WA
01
—
PH60004400
WA PRECEPTOR LICENSE
WA
Enumeration date
03/30/2016
Last updated
03/30/2016
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